374602382-1-12-2023-08-AS-LTEZ-CNM2XH-20230131164709

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602382
Report Date: 01/12/2023
Date Signed: 01/12/2023 12:16:11 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2022 and conducted by Evaluator Sabel Martinez

COMPLAINT CONTROL NUMBER: 08-AS-20220310083052

FACILITY NAME:	PARADISE HOME CARE		FACILITY NUMBER:	374602382
ADMINISTRATOR:	INOCENCIO, REMEDIOS		FACILITY TYPE:	740
ADDRESS:	4478 SAN JOAQUIN STREET		TELEPHONE:	(760) 754-2774
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92057
CAPACITY:	6	CENSUS: 5	DATE:	01/12/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Administrator, Remedios Inocencio		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Resident does not have access to personal storage space.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced complaint visit to conduct additional interviews, secured additional records, and deliver findings. The LPA was granted entry to the facility after introducing himself and discussing the purpose of the visit with Administrator, Remedios Inocencio.

Throughout the investigation the Department secured pertinent records and conducted interviews with internal and external sources.

It was alleged a resident did not have access to personal storage space. An external source reported a resident had disclosed the facility was not providing enough storage space for personal use. Interviews with internal sources revealed the amount of storage space and drawers provided were sufficient. On multiple visits to the facility, the LPA observed the residents in care had the appropriate amount of storage drawers, and closet space for personal storage use. Interviews with external sources did not reveal, nor corroborated the residents did not have an adequate amount of storage space for personal use.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (610) 767-2317
LICENSING EVALUATOR NAME: Sabel Martinez	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20220310083052

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: PARADISE HOME CARE	FACILITY NUMBER: 374602382
	VISIT DATE: 01/12/2023

NARRATIVE

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Based on the evidence gathered throughout the investigation, there was not a preponderance of evidence to prove the alleged violation occurred, therefore, the allegation was Unsubstantiated.

An exit interview was conducted with Administrator, Remedios Inocencio, to whom a copy of this report, and Licensee/Appeals Rights (LIC 9058) were provided tol via electronic mail. An electronic mail read receipt confirms the documents were received.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (610) 767-2317
LICENSING EVALUATOR NAME: Sabel Martinez	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC9099 (FAS) - (06/04)

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